Flower-Shaped Plasma Cells in Multiple Myeloma with Morphological Heterogeneity

Autor: Hiroki Hosoi, Misato Tane, Makiko Sogabe, Ryuta Iwamoto, Naoto Minoura, Shogo Murata, Toshiki Mushino, Akinori Nishikawa, Shin-Ichi Murata, Takashi Sonoki
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Diagnostics, Vol 14, Iss 20, p 2285 (2024)
Druh dokumentu: article
ISSN: 2075-4418
DOI: 10.3390/diagnostics14202285
Popis: Background: Flower-shaped nuclei in plasma cells are rare in multiple myeloma. Case presentation: We report on an 88-year-old male who presented with a mass lesion in the clavicular region. A biopsy of the mass revealed an increase in mature plasma cells with round nuclei. In contrast, a bone marrow examination showed increased plasma cells with flower-shaped nuclei. The patient tested negative for human T-lymphotropic virus type-1 and was diagnosed with multiple myeloma. Conclusions: While multiple myeloma is known for intra-tumor heterogeneity, reports of morphological heterogeneity based on the site of tumor sampling are limited. In this case, the presence of plasma cells with flower-shaped nuclei enabled the identification of site-dependent morphological tumor heterogeneity.
Databáze: Directory of Open Access Journals
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